Individual provider · Type 1 NPI
Chad L. Wagstaff, DDS
General Practice Dentistry · Eden, UT
NPI number
1730212564
Active
Practice location
2640 N Highway 162
Eden, UT 84310-9745
Mailing address
PO Box 805, 2640 N Highway 162
Eden, UT 84310-0805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019-025276 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Another provider at this address
Other general practice dentistry providers in Eden
About NPI 1730212564
Chad L. Wagstaff, DDS's National Provider Identifier is 1730212564, issued on Mar 13, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eden, UT. The record was last updated on Nov 6, 2014.